[1]谢小均,刘洪端,白 娇,等.急性主动脉壁内血肿影像学表现与治疗策略[J].介入放射学杂志,2018,27(09):873-877.
 XIE Xiaojun,LIU Hongduan,BAI Jiao,et al.The imaging characteristics and treatment strategy of acute aortic intramural hematoma [J].journal interventional radiology,2018,27(09):873-877.
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急性主动脉壁内血肿影像学表现与治疗策略()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
27
期数:
2018年09期
页码:
873-877
栏目:
临床研究
出版日期:
2018-09-25

文章信息/Info

Title:
The imaging characteristics and treatment strategy of acute aortic intramural hematoma
作者:
谢小均 刘洪端 白 娇 于风旭
Author(s):
XIE Xiaojun LIU Hongduan BAI Jiao YU Fengxu
Department of Cardiovascular Surgery, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province 646000, China
关键词:
【关键词】 主动脉壁内血肿 药物治疗 胸主动脉腔内修复术
文献标志码:
A
摘要:
【摘要】 目的 分析急性主动脉壁内血肿(AIH)影像学特征及治疗策略。方法 回顾性分析2013年4月至2017年8月收治的39例急性AIH患者影像学和临床治疗资料,治疗方法包括积极药物治疗、胸主动脉腔内修复术(TEVAR)及急症外科手术。结果 根据Stanford 分型,A型14例,B型25例。A型患者中7例接受急症外科手术,死亡1例;7例接受药物治疗,其中2例因降主动脉病变接受TEVAR术。B型患者中10例接受积极药物治疗,12例接受降主动脉TEVAR术,3例接受复合手术。所有患者随访3~36个月,平均(21.4±12.6)个月。除1例因TEVAR术后逆行主动脉夹层形成而死亡,其余患者影像学检查提示血肿均减小或完全吸收,主动脉无明显扩张。结论 对A型AIH,应制定个体化最佳治疗方式,予部分伴降主动脉穿透性溃疡患者TEVAR术可取得较好疗效;对B型AIH,积极的药物治疗结合选择性、预防性TEVAR术是合理的治疗策略。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2017-11-19)
(本文编辑:边 佶)
更新日期/Last Update: 2018-09-11